According to Dr. Andrew T. Maccabe, CEO of the American Association of Veterinary Medical Colleges, the lack of men of color entering health professions schools is systemic. Dr. Maccabe stated, "A lack of awareness, marginalization, educational disparities, systemic racism and unconscious bias has led to these continuing inequalities and a lack of HUMOC matriculating and graduating in the academic health professions, which has now reached crisis proportions." Expanding on the issue, he shared that the 2021 graduating class of veterinary medical students included only 0.6% Black/African American men, 1.4% Hispanic/Latino men, and 0.2% American Indian/Alaska Native men.
The low numbers of HUMOC health care providers affect not only communities of color, but the entire nation’s well-being. As noted in the FASHP consensus statement, this lack of diversity has significant consequences for public health, education, economic stability and the availability and quality of health care treatment for all U.S. communities. There is also a need to significantly increase the number of HUMOC graduating with Ph.D.'s and doctorate degrees in public health. The Association of Schools & Programs of Public Health (ASPPH) 2021-2022 data show that 230 of the 824 U.S. public health doctoral graduates were men. Of the total graduates, only 2.5% were Black/African American men, 2.1% Hispanic/Latino men, and 0.1% American Indian/Alaska Native men. Dr. Laura Magaña, ASPPH President and CEO, notes that “these statistics are unacceptable and solidify our resolve to implement impactful solutions around engaging our members towards a more inclusive and equitable public health workforce."
Dr. Dennis Mitchell, Interim Provost and Executive Vice President for University Life at Columbia University, is a dentist and was instrumental in establishing what is currently known as the Summer Health Professions Education Program (SHPEP), jointly administered by ADEA and AAMC. Supported by a generous grant from the RWJF, SHPEP, formerly known as the Summer Medical and Dental Education Program (SMDEP), is a six-week summer enrichment program for marginalized and socioeconomically and educationally disadvantaged college students interested in the health professions. Columbia University is one of 12 program sites. A 2015 Mathematica study commissioned by RWJF showed that the likelihood of students in SMDEP with a dental component were 10.5 percentage points more likely to enroll in dental school, and students in the program with a medical track were 9 percentage points more likely to enroll in medical school students than students not participating in SMDEP pathway program. Echoing Dr. Satcher’s sentiments, Dr. Mitchell, who also serves on the National Association of Chief Diversity Officers in Higher Education Board of Directors, added, "Pathway programs such as SHPEP make a difference, but to truly make a difference, we need more of these programs and more of these interventions throughout the P-16 student lifecycle for boys and men of color."
The FASHP CEOs agree that more academic enrichment interventions are needed to increase the representation of all historically underrepresented and marginalized groups in the health professions. However, FASHP believes there is an urgent need to call attention to the significant deficiency of HUMOC entering and graduating from health professions schools in comparison to other marginalized student populations.
In pursuit of greater collective action, FASHP is establishing a coalition with associations across the academic health professions, health care institutions, and health professional organizations to tackle the longstanding problem of the low numbers of HUMOC at health professions schools. FASHP plans to expand its work to galvanize P-16 governmental, health care, corporate, foundation, health care research, community and other leaders to develop short and long-term strategies with focused action plans. FASHP leaders realize this is a complex problem and are energized to address the challenge.
They are further inspired to action by Dr. Satcher’s parting words at the Summit, "We need people who care enough to know enough and have the courage to do enough to persevere until the job is done!"
FASHP Member Organizations
American Association of Colleges of Nursing
American Association of Colleges of Osteopathic Medicine
American Association of Colleges of Pharmacy
American Association of Colleges of Podiatric Medicine
American Association of Veterinary Medical Colleges
American Dental Education Association
Association of American Medical Colleges
Association of Chiropractic Colleges
Association of Schools Advancing Health Professions
Association of Schools and Colleges of Optometry
Association of Schools and Programs of Public Health
Association of University Programs in Health Administration
Council on Social Work Education
PA Education Association
Liaison Members
Association of Accredited Naturopathic Medical Colleges
American Council of Academic Physical Therapy
American Occupational Therapy Association
American Physical Therapy Association
American Psychological Association